FORM 1023-EZ for GRAVIS USA

Field Data
EIN 84-5177094
Case Number EO-2020090-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAVIS USA
Organization’s Mailing Address 2500 COLUMBIA ST UNIT 107
City PALO ALTO
State CA
ZIP 94304
Accounting period End 12
Primary contact name HAYDEN KANTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANIL LAL
PRESIDENT, DIRECTOR
31159 SAN BENITO ST
HAYWARD CA 94544

Officer/Director/Trustee Two

HAYDEN KANTOR
TREASURER, DIRECTOR
2500 COLUMBIA ST UNIT 107
PALO ALTO CA 94304

Officer/Director/Trustee Three

DEEPAK SHARMA
SECRETARY, DIRECTOR
14030 CHESTERWOOD DR
BROOKFIELD WI 53005

Officer/Director/Trustee Four

ROOPA BALASUBRAMANIAN
DIRECTOR
1047 REGENCY KNOLL DR
SAN JOSE CA 95129

Officer/Director/Trustee Five

PRAKASH TYAGI
DIRECTOR
2500 COLUMBIA ST UNIT 107
PALO ALTO CA 94304

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HAYDEN KANTOR
Signature Title TREASURER, DIRECTOR
Signature Date 3/27/2020

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